Abstract Background: The new European Society of Cardiology guidelines for hypertrophic cardiomyopathy (HCM) define the estimation of sudden cardiac death (SCD) risk as an integral part of clinical management. An implantable cardioverter defibrillator (ICD) is recommended (class IIa) when the risk is ≥ 6%. Objectives: To compare the SCD risk stratification according to the 2011 and 2014 recommendations for ICD implantation in patients with HCM. Methods: Retrospective study including 105 patients diagnosed with HCM. The indication for ICD was assessed using the 2011 and 2014 guidelines. Statistical analysis was performed using SPSS software version 19.0.0.2®. The tests performed were bilateral, considering the significance level of 5% (p < 0.05). Results: Regarding primary prevention, according to the 2011 ACCF/AHA recommendations, 39.0% of the patients had indication for ICD implantation (level of evidence IIa). Using the 2014 guidelines, only 12.4% of the patients had an indication for ICD implantation. Comparing the two risk stratification models for patients with HCM, we detected a significant reduction in the number of indications for ICD implantation (p < 0.001). Of the 41 patients classified as IIa according to the 2011 recommendations, 68.3% received a different classification according to the 2014 guidelines. Conclusion: Significant differences were found when comparing the SCD risk stratification for ICD implantation in the two guidelines. The current SCD risk score seems to identify many low-risk patients who are not candidates for ICD implantation. The use of this new score results in a significant reduction in the number of ICD implanted.

Abstract Background: The new European Society of Cardiology guidelines for hypertrophic cardiomyopathy (HCM) define the estimation of sudden cardiac death (SCD) risk as an integral part of clinical management. An implantable cardioverter defibrillator (ICD) is recommended (class IIa) when the risk is ≥ 6%. Objectives: To compare the SCD risk stratification according to the 2011 and 2014 recommendations for ICD implantation in patients with HCM. Methods: Retrospective study including 105 patients diagnosed with HCM. The indication for ICD was assessed using the 2011 and 2014 guidelines. Statistical analysis was performed using SPSS software version 19.0.0.2®. The tests performed were bilateral, considering the significance level of 5% (p < 0.05). Results: Regarding primary prevention, according to the 2011 ACCF/AHA recommendations, 39.0% of the patients had indication for ICD implantation (level of evidence IIa). Using the 2014 guidelines, only 12.4% of the patients had an indication for ICD implantation. Comparing the two risk stratification models for patients with HCM, we detected a significant reduction in the number of indications for ICD implantation (p < 0.001). Of the 41 patients classified as IIa according to the 2011 recommendations, 68.3% received a different classification according to the 2014 guidelines. Conclusion: Significant differences were found when comparing the SCD risk stratification for ICD implantation in the two guidelines. The current SCD risk score seems to identify many low-risk patients who are not candidates for ICD implantation. The use of this new score results in a significant reduction in the number of ICD implanted.

A new fossil flower, Kajanthus lusitanicus gen. et sp. nov, is described from the Early Cretaceous (late Aptian–early Albian) Chicalhão site near the village of Juncal, western Portugal, based on a single coalified specimen. The flower is small, actinomorphic, trimerous and bisexual, slightly compressed and with floral organs tightly adhering. The perianth is organised in more than two whorls. The inner two whorls consist of six bulky, apparently fleshy parts. The outer perianth whorls consist of narrow parts. There are six stamens, arranged in two whorls. The filaments are thick and anthers tetrasporangiate. The pollen sacs are protruding with extrorse dehiscence. Pollen observed in situ is tricolpate, tectate, finely punctate-perforate, compressed and more or less spherical in polar view with a diameter of about 15 µm. The gynoecium is superior and composed of three free carpels. Non-destructive virtual sectioning of the single flower using synchrotron radiation X-ray tomographic microscopy revealed the presence of several curved ovules in each carpel, arranged in two longitudinal rows on marginal placentae. The character suite of the Kajanthus flower is only found in extant Lardizabalaceae (Ranunculales), where it is particularly close to Sinofranchetia, a monotypic genus that is now endemic to China.

A new fossil flower, Kajanthus lusitanicus gen. et sp. nov, is described from the Early Cretaceous (late Aptian–early Albian) Chicalhão site near the village of Juncal, western Portugal, based on a single coalified specimen. The flower is small, actinomorphic, trimerous and bisexual, slightly compressed and with floral organs tightly adhering. The perianth is organised in more than two whorls. The inner two whorls consist of six bulky, apparently fleshy parts. The outer perianth whorls consist of narrow parts. There are six stamens, arranged in two whorls. The filaments are thick and anthers tetrasporangiate. The pollen sacs are protruding with extrorse dehiscence. Pollen observed in situ is tricolpate, tectate, finely punctate-perforate, compressed and more or less spherical in polar view with a diameter of about 15 µm. The gynoecium is superior and composed of three free carpels. Non-destructive virtual sectioning of the single flower using synchrotron radiation X-ray tomographic microscopy revealed the presence of several curved ovules in each carpel, arranged in two longitudinal rows on marginal placentae. The character suite of the Kajanthus flower is only found in extant Lardizabalaceae (Ranunculales), where it is particularly close to Sinofranchetia, a monotypic genus that is now endemic to China.

A new fossil flower, Kajanthus lusitanicus gen. et sp. nov, is described from the Early Cretaceous (late Aptian–early Albian) Chicalhão site near the village of Juncal, western Portugal, based on a single coalified specimen. The flower is small, actinomorphic, trimerous and bisexual, slightly compressed and with floral organs tightly adhering. The perianth is organised in more than two whorls. The inner two whorls consist of six bulky, apparently fleshy parts. The outer perianth whorls consist of narrow parts. There are six stamens, arranged in two whorls. The filaments are thick and anthers tetrasporangiate. The pollen sacs are protruding with extrorse dehiscence. Pollen observed in situ is tricolpate, tectate, finely punctate-perforate, compressed and more or less spherical in polar view with a diameter of about 15 µm. The gynoecium is superior and composed of three free carpels. Non-destructive virtual sectioning of the single flower using synchrotron radiation X-ray tomographic microscopy revealed the presence of several curved ovules in each carpel, arranged in two longitudinal rows on marginal placentae. The character suite of the Kajanthus flower is only found in extant Lardizabalaceae (Ranunculales), where it is particularly close to Sinofranchetia, a monotypic genus that is now endemic to China.

A new fossil flower, Kajanthus lusitanicus gen. et sp. nov, is described from the Early Cretaceous (late Aptian–early Albian) Chicalhão site near the village of Juncal, western Portugal, based on a single coalified specimen. The flower is small, actinomorphic, trimerous and bisexual, slightly compressed and with floral organs tightly adhering. The perianth is organised in more than two whorls. The inner two whorls consist of six bulky, apparently fleshy parts. The outer perianth whorls consist of narrow parts. There are six stamens, arranged in two whorls. The filaments are thick and anthers tetrasporangiate. The pollen sacs are protruding with extrorse dehiscence. Pollen observed in situ is tricolpate, tectate, finely punctate-perforate, compressed and more or less spherical in polar view with a diameter of about 15 µm. The gynoecium is superior and composed of three free carpels. Non-destructive virtual sectioning of the single flower using synchrotron radiation X-ray tomographic microscopy revealed the presence of several curved ovules in each carpel, arranged in two longitudinal rows on marginal placentae. The character suite of the Kajanthus flower is only found in extant Lardizabalaceae (Ranunculales), where it is particularly close to Sinofranchetia, a monotypic genus that is now endemic to China.

A new fossil flower, Kajanthus lusitanicus gen. et sp. nov, is described from the Early Cretaceous (late Aptian–early Albian) Chicalhão site near the village of Juncal, western Portugal, based on a single coalified specimen. The flower is small, actinomorphic, trimerous and bisexual, slightly compressed and with floral organs tightly adhering. The perianth is organised in more than two whorls. The inner two whorls consist of six bulky, apparently fleshy parts. The outer perianth whorls consist of narrow parts. There are six stamens, arranged in two whorls. The filaments are thick and anthers tetrasporangiate. The pollen sacs are protruding with extrorse dehiscence. Pollen observed in situ is tricolpate, tectate, finely punctate-perforate, compressed and more or less spherical in polar view with a diameter of about 15 µm. The gynoecium is superior and composed of three free carpels. Non-destructive virtual sectioning of the single flower using synchrotron radiation X-ray tomographic microscopy revealed the presence of several curved ovules in each carpel, arranged in two longitudinal rows on marginal placentae. The character suite of the Kajanthus flower is only found in extant Lardizabalaceae (Ranunculales), where it is particularly close to Sinofranchetia, a monotypic genus that is now endemic to China.

A new fossil flower, Kajanthus lusitanicus gen. et sp. nov, is described from the Early Cretaceous (late Aptian–early Albian) Chicalhão site near the village of Juncal, western Portugal, based on a single coalified specimen. The flower is small, actinomorphic, trimerous and bisexual, slightly compressed and with floral organs tightly adhering. The perianth is organised in more than two whorls. The inner two whorls consist of six bulky, apparently fleshy parts. The outer perianth whorls consist of narrow parts. There are six stamens, arranged in two whorls. The filaments are thick and anthers tetrasporangiate. The pollen sacs are protruding with extrorse dehiscence. Pollen observed in situ is tricolpate, tectate, finely punctate-perforate, compressed and more or less spherical in polar view with a diameter of about 15 µm. The gynoecium is superior and composed of three free carpels. Non-destructive virtual sectioning of the single flower using synchrotron radiation X-ray tomographic microscopy revealed the presence of several curved ovules in each carpel, arranged in two longitudinal rows on marginal placentae. The character suite of the Kajanthus flower is only found in extant Lardizabalaceae (Ranunculales), where it is particularly close to Sinofranchetia, a monotypic genus that is now endemic to China.

A new fossil flower, Kajanthus lusitanicus gen. et sp. nov, is described from the Early Cretaceous (late Aptian–early Albian) Chicalhão site near the village of Juncal, western Portugal, based on a single coalified specimen. The flower is small, actinomorphic, trimerous and bisexual, slightly compressed and with floral organs tightly adhering. The perianth is organised in more than two whorls. The inner two whorls consist of six bulky, apparently fleshy parts. The outer perianth whorls consist of narrow parts. There are six stamens, arranged in two whorls. The filaments are thick and anthers tetrasporangiate. The pollen sacs are protruding with extrorse dehiscence. Pollen observed in situ is tricolpate, tectate, finely punctate-perforate, compressed and more or less spherical in polar view with a diameter of about 15 µm. The gynoecium is superior and composed of three free carpels. Non-destructive virtual sectioning of the single flower using synchrotron radiation X-ray tomographic microscopy revealed the presence of several curved ovules in each carpel, arranged in two longitudinal rows on marginal placentae. The character suite of the Kajanthus flower is only found in extant Lardizabalaceae (Ranunculales), where it is particularly close to Sinofranchetia, a monotypic genus that is now endemic to China.

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